| NPI | 1811259187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC15915) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 32336) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2019-09-03 |